10D0958160 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D0958160
  • Facility Name: MILLENNIUM PHYSICIAN GROUP LLC
  • Facility Address: 3360 COUNTY ROAD 220
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MURSHID A. AL AWADY
  • NPI Number: 1225700974
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0958160
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP LLC
Street 3360 COUNTY ROAD 220
City MIDDLEBURG
State FL
ZIP 32068
Phone 941 787-7665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director MURSHID A. AL AWADY

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This page was last updated on: 9/29/2025